| NPI | 1184050767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9427929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60405652) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2016-08-06 |